Pediatric Dentistry

 

Contents

 

1. Early-Dental Intervention

 Introduction

Assessment

History

     Table 1: Health and Development Questionnaire

Examination

Caries-Risk Assessment

Anticipatory Guidance

     Table 2: Anticipatory Guidance

Diet Modification

Fluoride Supplementation and Oral hygiene Counseling

     Table 3: Fluoride Supplementation Regimen

Non-Nutritive Habits and Trauma Prevention

     Table 4: Malocclusion Due to Non-Nutritive Habits

Anterior and/or Posterior Cross-Bite

Trauma Injuries

References

 

2. Behavior Management of a CHild in a Dental Setting

    Table 5: Different Types of Child Temperaments

First Impression

Separation from the Parent

Getting into the Chair

Then Injection and the Dental Procedure

Return to the Parent

 

Nonpharmacological Behavioral Methods

Tell-Show-Do

Positive Reinforcement

Distraction

Fading

Systematic Desensitization

Voice Control

Restraints

 

Pharmacological Behavioral Methods

Conscious Sedation

Routes of Administration

Inhalation

Oral

Intramuscular

Intravenous

 

Preparation for Conscious Sedation

Monitoring

References

 

3. Endodontic Treatment in Primary and Young-Permanent Dentition

Medical History

Behavioral Factors

Dental Factors

History of Pain

Clinical Examination

Future Considerations

Radiographic Examination

 

Endodontic Treatment in Primary Dentition

Vital Pulp Therapy

Pharmacologic Medicaments

Nonpharmacologic Techniques

Non-Vital Pulp Therapy

 

Endodontic Treatment in Young-Permanent Dentition

Dental Factors

History of Trauma

Clinical Factors

Radiographic Exam

Vital Pulp Therapy

Non-Vital Pulp Therapy

References

 

4. Gingival and Periodontal Diseases in Children

Child Gingiva

Child Bone

Child Teeth

Anatomic

Gingival Overgrowth

Gingival Disease

Early-Onset Periodontitis

Adult-Onset Periodontitis

Systemic Diseases

References

 

Learning Objectives

 

Endodontic Treatment

Learning Objectives

After completion of the course you’ll be able to:

 

Early-Dental Intervention

1. Identify some common dental abnormalities that occur in pre-term and LBW infants.

2. List various elements that a dentist should look for while taking a child’s history.

3. Identify the particular aspects of extraoral and intraoral examination.

4. Describe the best position to examine an infant or a toddler.

5. After a careful examination of the child assess the level of risk for caries.

 

Behavioral Management For a Child in the Dental Setting

6. Describe different types of child temperaments.

7. Discuss the 5 anxiety-producing times during a dental visit.

8. State the different non-pharmacological behavioral techniques used for an apprehensive child.

9. List the levels of sedation (conscious, deep, general) used to manage resistant pediatric dental patients.

10. Review necessary information needed (history, physical assessment, ASA status) to determine if a patient is a candidate for conscious sedation.

11. Describe the pros and cons of different routes of administration (inhalation, PO, IM, IV) used to provide pharmacological behavioral techniques.

12. State the necessary pre- and post-op steps and monitoring needed for successful sedation procedures.

 

Endodontic Treatment in Primary and Young-Permanent Dentition

13. Describe indications and contraindications for endodontic treatment over tooth extraction.

14. Describe the information needed to obtain an accurate diagnosis and determine if a primary or young-permanent tooth is treatable with endodontic treatment.

15. Discuss the influence of behavioral factors on the plan of treatment.